Evidence map›Paper›PMID 31863395›Full record

Trial reportGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

Aflibercept for choroidal neovascularizations secondary to pseudoxanthoma elasticum: a prospective study.

Martin Gliem, Johannes Birtel, Philipp Herrmann, Rolf Fimmers, Moritz Berger, Christoph Coch, Almut Wingen, Frank G Holz, Peter Charbel Issa

Open access · hybridAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Martin GliemDepartment of Ophthalmology, University Hospital of Bonn, Bonn, Germany.
Johannes BirtelDepartment of Ophthalmology, University Hospital of Bonn, Bonn, Germany.
Philipp HerrmannDepartment of Ophthalmology, University Hospital of Bonn, Bonn, Germany.
Rolf FimmersInstitute of Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.
Moritz BergerInstitute of Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.
Christoph CochStudy Center Bonn, Institute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Almut WingenStudy Center Bonn, Institute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Frank G HolzDepartment of Ophthalmology, University Hospital of Bonn, Bonn, Germany.
Peter Charbel IssaOxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, and Nuffield Laboratory of Ophthalmology, Department of Clinical Neurosciences, University of Oxford, Oxford, UK. study-enquiry@outlook.com.ORCID http://orcid.org/0000-0002-0351-6673
University of Bonn · DEUniversity Hospital Bonn · DEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the use of 2 mg intravitreal aflibercept for treatment of choroidal neovascularization (CNV) secondary to angioid streaks in patients with pseudoxanthoma elasticum (PXE).

methodsIn this 12-month prospective, open-label, uncontrolled, non-randomized interventional clinical trial, 15 PXE patients with CNV (mean age: 53 years, range 22-65) received one initial intravitreal injection of 2 mg aflibercept. Further injections were based on CNV activity at monthly examinations. The primary endpoint was change of best corrected visual acuity (BCVA) after 12 months. Secondary outcomes were change of central retinal thickness (CRT), leakage from CNV, retinal sensitivity, and vision-related quality of life.

resultsBCVA improved from 75.0 ± 10.8 (± SD, Snellen equivalent 20/32) to 79.3 ± 7.3 ETDRS letters (20/32) at final visit (p = 0.083). CRT decreased from 317 ± 81 to 279 ± 51 μm (p = 0.004). Retinal sensitivity on microperimetry changed from 17.8 ± 4.5 to 18.5 ± 4.3 dB (p = 0.103) and vision-related quality of life from a VQF-25 score of 80.7 ± 10.4 to 83.5 ± 14.5 (p = 0.554). The mean number of injections was 6.7 ± 2.6, and 5 participants had persistent or reactivated CNV activity at final visit. The observed adverse events were comparable with studies on aflibercept for other indications.

conclusionThe results of this study indicate that intravitreal aflibercept is a treatment option for CNV secondary to PXE.

Indexed as

Visual AcuityAdultChoroidChoroidal NeovascularizationFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansIntravitreal InjectionsMaleMiddle AgedProspective StudiesPseudoxanthoma ElasticumQuality of LifeReceptors, Vascular Endothelial Growth FactorafliberceptReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsABCC6AfliberceptAngioid streaksAnti-VEGFChoroidal neovascularizationPseudoxanthoma elasticum

Identifiers

PMID31863395
OpenAlexW2995771416

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.